Zara Cooper
speaker
200 appearances
1 recordings
1 series
first heard Sep 2017
last heard Sep 2017
Zara Cooper’s voice in public audio — every appearance, attributed to the second.
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Appearances
Is that um you know the time pressure is is there and you feel the need to act quickly.
Certainly if you're stabilizing somebody who is, you know, at risk of imminent death.
Um, there's certainly a need to act quickly.
But oftentimes, you know, we do have enough time to have some meaningful conversations with patients and their family.
I mean, we have enough time to get consent for the surgery.
Um and so I would propose that in fact, you know, some of these conversations, if they're done well, um, can happen in in a short period of time.
One of the things that is a major disadvantage for us is that we don't have a longitudinal relationship with our patients and families and it's really important for us to um gain their confidence uh very quickly.
And so it makes a lot of surgeons and trauma clinicians very hesitant to start bringing in bad news and discuss, you know, the the
you know, adverse out possible adverse outcomes, um, you know, and poor prognostic outcomes uh for fear of, you know, taking away hope, but also um not engendering confidence um between the patient and their family.
Yeah.
So I th I think that's a great question and one that we're struggling with ourselves.
I think there are a couple of issues.
One is that um obviously we know that there are not enough geriatricians and palliative care uh clinicians to go around and I'm fortunate to work at a Court and Area Academic Medical Center, but in most places, you know, these resources are just not available and even within my hospital we don't have a lot of geriatricians.
Um and and so for those reasons, surgeons need to be able to do, you know, primary what's been described as primary palliative care, much much of which, you know, would really address the needs of this patient population.
Um, I think the other issue is that um
You know, what many of my colleagues
worry about is that palliative care clinicians are not um as well versed in sudden acute what Murray Bacitus has described as sudden acute um sudden um uh advanced illness.
Um and are not so comfortable with such an urgent trajectory.
So I think that there's a need for education on both sides actually.
for palliative care clinicians and geriatricians to meet the needs of this population because you know these are are conversations that are happening kind of in real time.
Showing 61–80 of 200 · page 4 of 10
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